Gluteal and thigh compartment syndrome after open abdominal aortic aneurysm repair

Abstract

Although compartment syndrome (CS) can occur in any myofascial compartment, the thigh and buttock are among the least common. CS is characterized by an increase in pressure of a myofascial compartment that results in a reduction of capillary blood flow and myonecrosis. Although >75% of cases of CS occur after long bone fractures, acute CS can also occur from nontraumatic and vascular etiologies. We report a case of gluteal and thigh CS resulting from ischemia–reperfusion injury after abdominal aortic aneurysm repair and left common iliac artery bypass.

Keywords

• Compartment syndrome
• Open aortic aneurysm repair
• Reperfusion